Remote Outpatient Coding Quality Auditor

e4health; Pittsburgh (Allegheny County); Remote; USD 90,000 - 120,000; Full time

Job summary

e4health is seeking an Outpatient Innovations Auditor to perform quality assurance reviews of facility-based outpatient records processed through Autonomous Coding solutions.

The role evaluates AI-generated coding results, compares them with human-coded results and supporting documentation, and identifies variances, trends, root causes, and opportunities to improve coding quality and technology performance.

Qualifications

• Candidate must possess an approved AHIMA or AAPC coding credential.
• Minimum 5 years’ coding experience required; specialty experience may be preferred as per specific client needs
• Experience with all aspects of Outpatient charts such as SDS, ED, Ancillary, Observations, and IVR
• Minimum 2 years of auditing experience
• Experience auditing technology-assisted, computer-assisted, or autonomous coding results is preferred
• 2 years of remote working experience preferred
• Proficiency with electronic health records, encoder or coding platforms, audit tools, and spreadsheet-based data review is preferred

Responsibilities

• Complete all regularly scheduled quality assurance reviews for clients
• Review Autonomous Coding records to evaluate the accuracy, completeness, and appropriateness of AI-generated ICD-10-CM, CPT, and HCPCS code assignments
• Compare AI-generated results with human-coded results and the source documentation, documenting coding variances and the rationale for final determinations
• Analyze recurring variance patterns, false positives, false negatives, and workflow exceptions; accelerate potential compliance, configuration, or performance concerns promptly
• Collaborate with customers and the Innovations team to clarify requirements, review findings, resolve discrepancies, and recommend improvements to coding logic, workflows, and quality controls.
• Support solution validation, user acceptance testing, release readiness, and post-implementation monitoring by executing defined test scenarios and documenting results.
• Maintain clear, reproducible audit documentation and summarize accuracy, variance, and trend results for internal and customer-facing reporting.
• Communicate quality issues to management as appropriate
• Respond to client QA needs at the direction of management
• Demonstrate knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information
• Attend educational conference calls
• Perform other duties as needed within the scope of the project
• Maintain required productivity and quality requirementsMaintain coding credential requirements

Skills

AHIMA or AAPC credential

5+ years coding experience

2+ years auditing

Outpatient charts experience

Remote work experience

EHR/coding tools proficiency

Tools

EHR platforms

Job description

e4health is seeking an Outpatient Innovations Auditor to perform quality assurance reviews of facility-based outpatient records processed through Autonomous Coding solutions.

The role evaluates AI-generated coding results, compares them with human-coded results and supporting documentation, and identifies variances, trends, root causes, and opportunities to improve coding quality and technology performance.